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Article Dans Une Revue Annales de Pathologie Année : 2023

Secondary tumors localized in testis

Localisations tumorales secondaires testiculaires

Résumé

Testis tumors are uncommon in oncology, and testicular metastasis from distant solid tumors are even rarer. We present two cases encountered in our department of pathology in CHU de Rennes, France. Moreover, we collected all reported cases in the Medline/PubMed databases of non-hematopoietic secondary testis tumors in adults, excluding autopsy studies, to propose an integrative study on this topic. In total, we report 98 cases of secondary testis lesions to prostate (n=38, 38.77 %), colorectal (n=19, 19.39%), gastric (n=12, 12.24%), kidney (n=7, 7.14%), lung (n=6, 6.12%) and other primary cancers. The median age at diagnosis was 66.5 years. We identified significantly more prostate adenocarcinoma (P<0.0001) when the primary tumor was known and significantly more colorectal adenocarcinoma (P=0.035) and pancreatic adenocarcinoma (P=0.002) when the primary tumor was unknown. The age at diagnosis was older when the primary tumor was known (P=0.007). We present the challenges for the diagnosis and propose some elements for diagnosis orientation. Finally, we discuss the possible ways of metastatic dissemination from primary site to testis, as illustrated by the two cases we present.
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Dates et versions

hal-04020815 , version 1 (09-03-2023)

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Citer

P Allaume, Zine-Eddine Khene, Benoît Peyronnet, Romain Mathieu, Karim Bensalah, et al.. Localisations tumorales secondaires testiculaires. Annales de Pathologie, 2023, ⟨10.1016/j.annpat.2023.01.012⟩. ⟨hal-04020815⟩
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